RANDALL CARL MOLES Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020063

License Status

NOT RENEWED

Business

First Name

RANDALL CARL

Last Name

MOLES

Business Name

RANDALL CARL MOLES

Original Issue Date

06/04/1986

Effective Date

06/23/2015

Expiration Date

09/30/2018

City

RACINE

State

Zip

53406

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/31/2018